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Promoting decision aid use in primary care using a staff member for delivery
Kylee M Miller1, Alison Brenner, Jennifer M Griffith
1Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA.
Patient Education and Counseling
|June 18, 2011
Summary
In-clinic distribution of patient decision aids (DAs) by care assistants appears feasible and effective in primary care settings. This method, however, requires specific resources and brief DAs for optimal patient engagement.
Area of Science:
- Health Services Research
- Patient Education
- Clinical Decision Making
Background:
- Effective patient decision-making is crucial for managing chronic conditions and elective procedures.
- Traditional methods of decision aid distribution may have limitations in primary care settings.
- Care assistants can potentially play a role in enhancing patient engagement with health information.
Purpose of the Study:
- To assess the feasibility and effectiveness of distributing patient decision aids (DAs) within a general internal medicine clinic using a care assistant.
- To evaluate the proportion of eligible patients who received and viewed decision aids.
- To identify factors influencing successful in-clinic DA distribution.
Main Methods:
- A prospective study was conducted in a General Internal Medicine Clinic involving 1229 potentially eligible patients.
- Patients were assessed for eligibility for decision aids related to prostate cancer screening and weight loss surgery.
- A care assistant approached patients to view decision aids during their clinic visit, with distribution and viewing proportions as primary outcomes.
Main Results:
- Of 913 patients attending appointments, 58% were approached for eligibility assessment.
- Among 471 eligible patients, 57% viewed at least part of a decision aid.
- The average viewing time for incomplete decision aid views was 13 minutes.
Conclusions:
- In-clinic viewing of decision aids by patients is a potentially feasible and effective strategy in primary care.
- Successful implementation necessitates an electronic health information system for patient identification and a dedicated staff member for DA distribution.
- The development of brief decision aids (under 10 minutes) is recommended to facilitate patient completion before appointments, thereby enhancing shared decision-making.
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